| NPI | 1356740088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 247847) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AZ RN180412) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2020-10-28 |